title: Is a red umbilical cord a sign of umbilical venous congestion?: a case report.
abstract: Postnatal examination of fetal appendages is important because this information may help predict perinatal outcome. We present a case of a red streak along the entire umbilical vein after a cesarean section due to non-reassuring fetal status. The pathological findings revealed an umbilical cord with dilated vascular changes and mild funisitis. Because the dilated change was intense in the umbilical vein, the red streak of the umbilical cord was caused by venous congestion. Moreover, we considered that the umbilical venous congestion was due to increased resistance in the fetal intra-abdominal umbilical vein, which was associated with the non-reassuring fetal status.
authors.affiliation: Division of Reproductive Medicine, Perinatology and Gynecologic Oncology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan. hidehiko@pluto.dti.ne.jp
authors.forename: Hidehiko
authors.initials: H
authors.lastname: Miyake
authors.forename: Miwa
authors.initials: M
authors.lastname: Igarashi
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Inde
authors.forename: Akihito
authors.initials: A
authors.lastname: Nakai
authors.forename: Shunji
authors.initials: S
authors.lastname: Suzuki
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Takeshita
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D014470:Umbilical Cord / Q000098:blood supply* / Q000473:pathology*; D014471:Umbilical Veins / Q000473:pathology*